Winters Nancy C, Hanson Graeme, Stoyanova Veneta
Division of Child and Adolescent Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA.
Child Adolesc Psychiatr Clin N Am. 2007 Jan;16(1):111-32, ix. doi: 10.1016/j.chc.2006.07.010.
This article reviews the various definitions of case formulation, differences between diagnosis and case formulation, how case formulation for the child patient differs from the adult patient, and case formulation in the context of residency training, including challenges for residents transitioning from adult psychiatry. It presents a suggested structure for constructing a biopsychosocial formulation that can be applied in a training setting. Several specialized types of psychotherapy formulation are reviewed in more detail. The article concludes with a case example of a child psychiatry resident's case formulation before and after discussion in supervision.
本文回顾了病例构思的各种定义、诊断与病例构思之间的差异、儿童患者的病例构思与成人患者的不同之处,以及住院医师培训背景下的病例构思,包括从成人精神病学过渡的住院医师所面临的挑战。它提出了一种可应用于培训环境的构建生物心理社会构思的建议结构。文中更详细地回顾了几种特殊类型的心理治疗构思。文章最后给出了一个儿童精神病学住院医师在督导讨论前后的病例构思实例。